Crash Course Psychiatry free ebook download pdf

 

Crash Course Psychiatry free ebook download pdf

Crash Course Psychiatry free ebook download pdf

Crash Course Psychiatry free ebook download pdf

Crash Course Psychiatry free ebook download pdf

Preface

Simply beginning psychiatry? What are all these odd side effects and wacky questions? Why isn’t there a blood test for schizophrenia? Why is it ever adequate to give patients treatment they don’t need? As junior specialists who qualified four and six years prior we well recall how troublesome and confounding psychiatry felt as medicinal understudies. Your hard-won information of blood tests, ECGs furthermore, X-beams is still obliged yet not sufficient to do psychiatry. Rather, what you yourself find through watching and corresponding with patients is the thing that matters, and for that you have to upgrade your clinical abilities. You need to learn about strange manifestations which are hard for you to depict, not to mention your patients. You need to prepare your perception abilities to incorporate a tolerant’s mental state, not simply their physical signs. You need to figure out how to agreeably ask profoundly individual inquiries and figure out how to endure finding out about the apparently vast limit of people to hurt one another. We trust this book will convey clarity to this disarray by managing you down ways of deliberate appraisals, sound conclusions and proof based administration arranges. We’ve endeavored to dependably get down to the ‘clinical main concern’, with bunches of commonsense tips, yet we trust additionally to start your enthusiasm for a portion of the new neuroscientific discoveries in psychiatry

Contents

1. Psychiatric assessment and diagnosis . . . . 1
Interview technique . . . . . . . . . . . . 1
Psychiatric history . . . . . . . . . . . . . 2
Mental state examination. . . . . . . . . . 5
Risk assessment . . . . . . . . . . . . . . 8
Physical examination . . . . . . . . . . . . 8
The formulation: presenting the case . . . . 8
Classification in psychiatry . . . . . . . . 10
2. Pharmacological therapy and
electroconvulsive therapy . . . . . . . . 13
Antidepressants . . . . . . . . . . . . . 13
Mood stabilizers . . . . . . . . . . . . . 17
Antipsychotics . . . . . . . . . . . . . . 19
Anxiolytic and hypnotic drugs. . . . . . . 22
Other drugs used in psychiatry . . . . . . 24
Electroconvulsive therapy . . . . . . . . . 24
3. Psychological therapy . . . . . . . . . . 25
Psychotherapeutic approaches . . . . . . 25
Indications for psychotherapy . . . . . . . 30
4. Mental health and the law . . . . . . . . 33
Mental Health Act 1983 as amended by
Mental Health Act 2007. . . . . . . . . 33
Mental Health (Care & Treatment)
(Scotland) Act 2003. . . . . . . . . . . 37
Mental Health (Northern Ireland)
Order 1986 . . . . . . . . . . . . . . 37
Capacity to consent to treatment . . . . . 38
Common law . . . . . . . . . . . . . . 39
Human rights legislation . . . . . . . . . 39
Fitness to drive. . . . . . . . . . . . . . 40
5. Mental health service provision. . . . . . 41
History . . . . . . . . . . . . . . . . . 41
Primary care . . . . . . . . . . . . . . . 41
Secondary care . . . . . . . . . . . . . 41
6. The patient with thoughts of suicide or
self-harm . . . . . . . . . . . . . . . . 45
Definitions and clinical features . . . . . . 45
Assessment of patients who have
inflicted harm upon themselves . . . . . 45
Patient management following self-harm or
attempted suicide . . . . . . . . . . . . 48
Discussion of case study . . . . . . . . . 48
7. The patient with low mood. . . . . . . . 49
Definitions and clinical
features . . . . . . . . . . . . . . . . 49
Differential diagnosis . . . . . . . . . . . 51
Assessment . . . . . . . . . . . . . . . 53
Discussion of case study . . . . . . . . . 54
8. The patient with elevated or irritable
mood . . . . . . . . . . . . . . . . . . 57
Definitions and clinical
features . . . . . . . . . . . . . . . . 57
Differential diagnosis . . . . . . . . . . . 59
Assessment . . . . . . . . . . . . . . . 62
Algorithm for the diagnosis of mood
disorders . . . . . . . . . . . . . . . . 62
Discussion of case study . . . . . . . . . 63
9. The psychotic patient . . . . . . . . . . 65
Definitions and clinical
features . . . . . . . . . . . . . . . . 65
Differential diagnosis . . . . . . . . . . . 71
Algorithm for the diagnosis of psychotic
disorders . . . . . . . . . . . . . . . . 74
Assessment . . . . . . . . . . . . . . . 74
Discussion of case study . . . . . . . . . 75
10. The patient with anxiety, fear or
avoidance . . . . . . . . . . . . . . . . 77
Definitions and clinical
features . . . . . . . . . . . . . . . . 77
Differential diagnosis . . . . . . . . . . . 78
Algorithm for the diagnosis of anxiety
disorders . . . . . . . . . . . . . . . . 80
Assessment . . . . . . . . . . . . . . . 82
Discussion of case study . . . . . . . . . 82

Crash Course Psychiatry free ebook download pdf

Crash Course Psychiatry free ebook download pdf

Crash Course Psychiatry free ebook download pdf

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